Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $51.67 / $134.40	Facility		$15.08	$51.67	$134.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.06 / $17.34	Professional		$10.56	$13.06	$17.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.54 / $10.47	Professional		$4.51	$7.54	$10.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $141.24 / $1,351.50	Facility		$38.78	$141.24	$1,351.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.44 / $27.34	Professional		$11.31	$11.44	$27.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $33.20 / $69.09	Facility		$10.54	$33.20	$69.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $15.09 / $27.11	Professional		$9.84	$15.09	$27.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $8.90 / $12.63	Professional		$6.94	$8.90	$12.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $6,950.00 / $13,785.00	Facility		$10.56	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $10.56 / $14.48	Professional		$10.56	$10.56	$14.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.05 / $22.33	Professional		$6.03	$9.05	$22.33